Presentation
Abstract We present a case involving a 66-year-old woman with a history of childhood somnambulism who presented with a recent recurrence of sleepwalking. [ncbi.nlm.nih.gov]
Entire Body System
- Fever
Sleep walking is described by some medical people as "a partial arousal disorder", in which a person is not fully asleep but who is also not completely awake: Somnambulism can be caused by sleep deprivation, alcohol, fevers, stress, or by some mental [wordinfo.info]
[…] quoteTab Home Authors Topics Top Quotes Get App A B C D E F G H I J K L M N O P Q R S T U V W X Y Z ◃ BACK TO Jules Verne Quotes (94) Numerous observations made upon fevers, somnambulisms, and other human maladies, seem to prove that the moon does exercise [quotetab.com]
Somnambulism occurs during non-REM sleep and can be triggered by fever, sleep deprivation, specific stimuli, or medication. Sleepwalkers are usually amnesic for the event, and parents are sometimes unaware of their child's sleepwalking. Method. [n.neurology.org]
Illness or fever. Certain medications, such as sleeping pills. Stress, anxiety. Going to bed with full bladder. Noises or touches. Changes in sleep environment or different sleep setting (example: a hotel). Migraines. Head injuries. [my.clevelandclinic.org]
Factors that increase your risk of sleepwalking include: Alcohol use Fever Stress Sleep schedule disruptions, such as overnight travel Medications, such as sedatives Lack of sleep, such as from sleep apnea Family history of sleepwalking How to prevent [goshenhealth.com]
- Nightmare
Abstract Whereas there are some case reports of bupropion-induced vivid dreaming and nightmares, until now it has not been associated with somnambulism. [ncbi.nlm.nih.gov]
Sleepwalking may also occur in persons with post-traumatic stress disorder, whose nightmares terminate in shouting, struggling, or jumping out of bed. These episodes often result in awakening. [britannica.com]
Asthma Psychiatric disorders (dream abnormalities including nightmares, insomnia, somnambulism, anxiety, agitation including aggressive... [evidence.nhs.uk]
- Fatigue
Fatigue, lack of sleep, and anxiety are all associated with sleepwalking. Although medical science is not entirely certain of all the causes of sleepwalking, these are the prominent factors. [enotes.com]
If sleepwalking is causing dangerous behaviors or excessive fatigue, a doctor may prescribe medication, such as benzodiazepines (psychoactive drugs typically prescribed to treat anxiety) or antidepressants. [healthline.com]
Rather than view sleep as a moment of fatigue, weakness or vulnerability, this collection of works reflects upon the relationship between our physical being, and our mental processes, consciousness and subconscious. [mamalbury.com.au]
Lack of sleep or extreme fatigue. Interrupted sleep or unproductive sleep, from disorders like sleep apnea (brief pauses in the child's breathing pattern during sleep). Illness or fever. Certain medications, such as sleeping pills. Stress, anxiety. [my.clevelandclinic.org]
Sleepwalking is common in childhood and may be caused by fatigue or anxiety. Sometimes children who have never before experienced an episode of sleepwalking will do so when faced with the possibility of a disruption in their family life. [web.archive.org]
- Unconsciousness
Bodily movements during unconsciousness or sleep are specifically deemed involuntary acts. [jaapl.org]
Sleepwalkers develop motor activities that may be simple or complex: they can get out of bed, walk, urinate and even leave the house while remaining unconscious and unable to communicate. [ncbi.nlm.nih.gov]
However, they did have implications for the understanding of the mind and its disorders, especially in the areas of the unconscious and dissociation, constituting an important part of the history of psychology and psychiatry. [scielo.br]
In Australia, a person cannot be guilty of an offence if they were unconscious or asleep at the time that the offence was committed, though as a defence goes, sleepwalking is hard to prove. [w3.unisa.edu.au]
Michigan University professor Jeffrey Andrew Weinstock places “Somnambulism” as the forerunner of a uniquely American Gothic tradition: “[It] is a story about the mind divided and human beings who are strangers to themselves, compelled as we are by unconscious [loa.org]
- Pain
Browse recently published Learning/CME Learning/CME View all learning/CME CME Conservative Oxygen Therapy during Mechanical Ventilation in the ICU Case 8-2020: An 89-Year-Old Man with Recurrent Abdominal Pain and Bloody Stools Complications of Unsafe [nejm.org]
Common symptoms of MED are pain and stiffness of joints. However, MED also can present as a neuromuscular disorder with hypotonia and muscle weakness, particularly in childhood. [ntvg.nl]
Barbicane, pained at having to refuse him, gave him clearly to understand that the projectile could not possibly contain so many passengers. [pagebypagebooks.com]
Lopez R., Jaussent I., Dauvilliers Y., Pain in Sleepwalking: A Clinical Enigma, Sleep., 2015. [ojs.ukw.edu.pl]
Balasubrahmanyam | Udit Narayan | Alka Yagnik | Kavita Krishnamurthy | Kumar Sanu | Playlists Just Varun Dhawan | Friday Fresh Maal | House Party Mix | Trending 20 - Bollywood | In The Spotlight - Tony Kakkar | No Pain No Gain | Just Unplugged | Men In [hungama.com]
Respiratoric
- Snoring
OFF NHS doctor invents ‘cure’ for snoring by zapping tongue with electricity Revealed SLEEP SANCTUARY We show three women how they can make their bedrooms more sleep-friendly SLEEP TIGHT Wake up feeling alert with these top products for getting better [thesun.co.uk]
Sleep disorders such as sleep apnea, insomnia, somnambulism, snoring and more can affect the quality of your sleep. [yourdictionary.com]
[…] lämmitettävä peitto heated blanket tyynyliina pillowcase vuodesohva sofa bed kenttävuode cot puutarhatuoli lawn chair tuoksudiffuuseri diffuser pimennysverhot black out curtains sängynpääty headboard torkkunappi snooze button sängyn laidat bed rails Kuorsaan I snore [languagedrops.com]
However, we can affirm that chronic snoring and some symptoms and signs of SDB were present in siblings and parents of patients who were reported to have had sleepwalking and sleep terrors. [doi.org]
Gastrointestinal
- Abdominal Pain
Browse recently published Learning/CME Learning/CME View all learning/CME CME Conservative Oxygen Therapy during Mechanical Ventilation in the ICU Case 8-2020: An 89-Year-Old Man with Recurrent Abdominal Pain and Bloody Stools Complications of Unsafe [nejm.org]
Psychiatrical
- Behavior Disorder
[…] disturbances including sleepwalking, rapid eye movement sleep behavior disorder, and overlap parasomnia. [ncbi.nlm.nih.gov]
Howell MJ., Arneson PA., Schenck CH.,A novel therapy for REM sleep behavior disorder (RBD),J Clin Sleep Med.,2011. [ojs.ukw.edu.pl]
- Fear
Abstract The cases of 15 men admitted to the neuropsychiatric service of a Navy hospital for somnambulism indicate that sleepwalking is an aggressive or sexual motor activity seemingly aimed primarily at a fear-inspiring father. [ncbi.nlm.nih.gov]
Fearing to wake her in case she should panic and fall off the arm, the firefighter is understood to have found her mobile phone and called her parents from the top of the crane. They then phoned her to wake her up. [news.bbc.co.uk]
Davis seems more fearful and uncertain than Constantia: “’I know not how it is’, said he, ’but I begin to be affected with the fears of young Althorpe. I am half resolved not to enter this wood’” (3: 342). 8. [journals.openedition.org]
Sleepwalking has no association with previous sleep problems, sleeping alone in a room or with others, achluophobia (fear of the dark), or anger outbursts. [deploymentpsych.org]
- Abnormal Behavior
Polysomnographic data revealed the appearance of "Stage 1-REM with tonic electromyographic (EMG) activity" sometimes accompanied by abnormal behavior in the first group, but the sleep architecture and parameters showed no significant difference between [ncbi.nlm.nih.gov]
[…] study also showed that most abnormal behaviors were preceded by a short-lived increase in Δ EEG frequency, a pattern that can also reflect physiologic activation. 5 However, none of these studies of sleep terrors and sleepwalking has identified a cause [doi.org]
- Anxiety Disorder
People with certain mental health and substance use disorders, such as obsessive-compulsive disorder (OCD), major depressive disorder, other anxiety disorders, and alcohol use disorder, are also more likely to sleepwalk. [psycom.net]
꿈 불안 장애(Dream anxiety disorder) F51.8 기타 비기질적 수면 장애(Other nonorganic sleep disorders) F51.9 상세불명의 비기질적 수면 장애(Nonorganic sleep disorder, unspecified) 정서적 수면장애(Emotional sleep disorder) NOS G47 수면 장애(Sleep disorders) - 제외 : 악몽(nightmares)(F51.5) 비기질적 수면 [dic.impact.pe.kr]
- Anger
Sleepwalking has no association with previous sleep problems, sleeping alone in a room or with others, achluophobia (fear of the dark), or anger outbursts. [deploymentpsych.org]
Neurologic
- Somnambulism
Few reports discuss zaleplon-induced somnambulism. This report describes a patient without history of somnambulism, who developed amnesic somnambulism after taking low-dose of zaleplon. [ncbi.nlm.nih.gov]
There was something frightful in this somnambulism of drunkenness. "Mr. Phelps tells me you suffer from somnambulism," the doctor went on. But she had not for some time discovered any signs of somnambulism. [thesaurus.com]
- Confusion
Before walking, you might sit up in bed and look around in a confused manner. At other times, individuals may bolt from the bed and walk or run away. They may be frantic to escape from a threat that they dreamed or imagined. [sleepeducation.org]
It is not dangerous to awaken a sleepwalker, although it is common for the person to be confused or disoriented for a short time when they wake up. Another misconception is that a person cannot be injured while sleepwalking. [medlineplus.gov]
Most episodes arise from slow-wave sleep and are characterized by relative unresponsiveness to external stimuli, mental confusion, automatic behaviors, and variable retrograde amnesia. [doi.org]
- Insomnia
He had had depression, insomnia, and excessive daytime sleepiness (Epworth Sleepiness Scale, 12 of 24 possible points) for at least 3 years. [doi.org]
Abstract Zolpidem, a non-benzodiazepine hypnotic of the imidazopyridine class, is very effective in treating insomnia with previous claims of little adverse effects. [ncbi.nlm.nih.gov]
F51.0 비기질적 불면증(Nonorganic insomnia) 상당 기간 동안 계속해서 잠에 빠지거나 수면상태를 유지하기 어렵고 일찍깨는 등 수면의 질적 양적 불만족 상태. 불면증은 여러 장애에 공통적이지만 그것이 임상양상에 지배적일 때 여기에 분류된다. [dic.impact.pe.kr]
- Agitation
Asthma Psychiatric disorders (dream abnormalities including nightmares, insomnia, somnambulism, anxiety, agitation including aggressive... [evidence.nhs.uk]
Number: 2228142 Description: x, 345 pages illustrations Contents: The problem of hysteria -- Monoideic somnambulisms -- Fugues and polyideic somnambulisms -- Double personalities -- Convulsive attacks, fits of sleep, artificial somnambulisms -- Motor agitations [worldcat.org]
[…] nestabilitāte, uzvedības traucējumi, uzbudinājums, somnambulisms, trauksme, garastāvokļa pārmaiņas, nemiers, nervozitāte, miega traucējumi, patoloģiski sapņi, apātija English Suicidal ideation, aggression, confusion, affect liability, behaviour disorder, agitation [mymemory.translated.net]
Symptoms Episodes range from quiet walking about the room to agitated running or attempts to "escape." Subjects may later report attempting to escape dangerous situations or terrifying threats. [deploymentpsych.org]
[…] cycle when the events occur Daytime sleepiness Associated injury Memory of the event Family history Any precipitating factors Current Medications, if any Reported symptoms may include the following: Episodes ranging from quiet walking about the room to agitated [emedicine.medscape.com]
- Stroke
EEGs are used to diagnose epilepsy (a disorder marked by severe seizures or convulsions), brain tumors, strokes, and other neurological (nervous system) conditions. These conditions are characterized by distinctive, abnormal patterns of brain waves. [discoveriesinmedicine.com]
Sleep and Stroke. Sleep Medicine Clinics, Vol. 11, Issue. 1, p. 39. CrossRef Google Scholar Saletu, M. and Saletu-Zyhlarz, G. M. 2015. [doi.org]
Workup
[…] and physical examination Electroencephalography (EEG) may be helpful; microarousals and sleep state disorganization are often noted on EEG done during nocturnal sleep See DDx and Workup for more detail. [emedicine.medscape.com]
Six to 7 months after the initial visit, reevaluation included the same clinical workup as at entry, review of the sleep logs obtained at the previous follow-up visits, and review of the nocturnal polysomnograms. [doi.org]
Treatment
A variety of treatments have been recommended, but well-designed controlled clinical trials are lacking. [doi.org]
Generally, if sleepwalking is causing distress or danger in spite of safety measures, medical or psychological treatment is indicated. Clinicians will need to assess the evidence for treatment options. [ncbi.nlm.nih.gov]
Prognosis
Prognosis The prognosis for sleepwalking is good. Most children experience a few episodes of somnambulism and then simply stop, often when a source of stress or anxiety is removed. [healthofchildren.com]
Prognosis The NREM parasomnias are rarely associated with any significant morbidity or long-term sequelae. [emedicine.medscape.com]
The prognosis is generally excellent for childhood onset and poorer for adult onset (Sharma S., 2007). Conclusion Somnambulism is relatively common among children and secondary causes must be ruled out. [priory.com]
Etiology
The diagnosis of somnambulism was confirmed polysomnographically and linked etiologically to the start of using metoprolol, a lipophilic beta-blocker, for treating her hypertension. [ncbi.nlm.nih.gov]
This chapter discusses the clinical presentation, etiology, polysomnographic findings, diagnostic considerations, prevalence, and treatment options associated with these two parasomnias. Sleepwalking and sleep terrors share many characteristics. [doi.org]
Etiology Causal mutations have been... [evidence.nhs.uk]
Epidemiology
Further epidemiological research that addresses methodological problems found in studies of sleepwalking to date is needed. [ncbi.nlm.nih.gov]
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Epidemiology. 2007;18(6):805–35. pmid:18049195 View Article PubMed/NCBI Google Scholar 23. [doi.org]
That knowledge will be shared at a lecture being presented by Dr Stallman at UniSA in mid-October, with a focus on epidemiology, medication-induced sleepwalking and violence during sleepwalking. [w3.unisa.edu.au]
Woodward M.,Epidemiology: study design and data analysis, 3rd ed. Boca Raton: Taylor & Francis; 2014. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. [ojs.ukw.edu.pl]
Pathophysiology
BACKGROUND: Despite its high prevalence, relatively little is known about the pathophysiology of somnambulism. [ncbi.nlm.nih.gov]
Somnambulism: clinical aspects and pathophysiological hypotheses. Lancet neurology. 2013 Mar;12(3):285–94. pmid:23415568 View Article PubMed/NCBI Google Scholar 3. Ohayon MM, Guilleminault C, Priest RG. [journals.plos.org]
Somnambulism: clinical aspects and pathophysiological hypotheses. Lancet Neurol. 2013;12(3):285-294. PMID: 23415568 www.ncbi.nlm.nih.gov/pubmed/23415568. Updated by: Amit M. [nlm.nih.gov]
The co-occurrence of SW and RBD in most of our patients raises 2 possible pathophysiologic explanations. [doi.org]
Prevention
But precautions should be taken to prevent injuries such as falling down stairs or climbing out of a window. You probably do not need to visit your provider. [medlineplus.gov]
[…] burns keeping keys out of reach Sleepwalking prevention Helping your child develop good sleep habits and relaxation techniques can help prevent sleepwalking. [healthline.com]
To prevent falls, don't let your sleepwalker sleep in a bunk bed. Remove sharp or breakable things from around your child's bed. Keep dangerous objects out of reach. [kidshealth.org]
The best measures are preventative: ensure that the sleepwalker is in a safe room for walking, and cannot accidentally fall through an open window or down stairs. [medicinenet.com]